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WashingtonSB 59232025-2026 Regular SessionSenate

Concerning critical access hospital designations in Skagit county.

Sponsored By: Ron Muzzall (Republican)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Skagit island hospital qualifies for Medicaid payments

Beginning June 11, 2026, the law expands access to Medicaid critical access hospital payments. A hospital must be on an island within a public hospital district in Skagit County and have federal critical access designation. The hospital qualifies despite the existing freeze on adding hospitals to this payment program. Payments are based on allowable costs incurred during the year, unless the hospital joins the state's alternative-payment pilot. The change pays the hospital, not households.

Sponsors & Cosponsors

Sponsor

  • Ron Muzzall

    Republican • Senate

Cosponsors

  • Liz Lovelett

    Democratic • Senate

  • Sharon Shewmake

    Democratic • Senate

  • T'wina Nobles

    Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 145 • No: 0

House vote • 3/4/2026

3rd Reading & Final Passage

Yes: 96 • No: 0 • Other: 2

Senate vote • 2/16/2026

3rd Reading & Final Passage

Yes: 49 • No: 0

Actions Timeline

  1. Effective date 6/11/2026.

    3/17/2026Senate

  2. Chapter 84, 2026 Laws.

    3/17/2026Senate

  3. Governor signed.

    3/17/2026legislature

  4. Delivered to Governor.

    3/9/2026legislature

  5. Speaker signed.

    3/5/2026legislature

  6. President signed.

    3/5/2026legislature

  7. Third reading, passed; yeas, 96; nays, 0; absent, 0; excused, 2.

    3/4/2026Senate

  8. Rules suspended. Placed on Third Reading.

    3/4/2026Senate

  9. Rules Committee relieved of further consideration. Placed on second reading.

    3/3/2026Senate

  10. Referred to Rules 2 Review.

    3/2/2026Senate

  11. APP - Executive action taken by committee.

    2/27/2026Senate

  12. APP - Majority; do pass.

    2/27/2026Senate

  13. Referred to Appropriations.

    2/17/2026Senate

  14. Committee relieved of further consideration.

    2/17/2026Senate

  15. First reading, referred to Health Care & Wellness.

    2/17/2026Senate

  16. Third reading, passed; yeas, 49; nays, 0; absent, 0; excused, 0.

    2/16/2026Senate

  17. Rules suspended. Placed on Third Reading.

    2/16/2026Senate

  18. 1st substitute bill substituted.

    2/16/2026Senate

  19. Placed on second reading by Rules Committee.

    2/10/2026Senate

  20. Passed to Rules Committee for second reading.

    2/6/2026Senate

  21. WM - Majority; 1st substitute bill be substituted, do pass.

    2/5/2026Senate

  22. First reading, referred to Ways & Means.

    1/12/2026Senate

  23. Prefiled for introduction.

    12/22/2025Senate

Bill Text

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